Electronic Devices for Low Vision PatientsNilufa Akter
This document discusses different types of electronic devices that can help low vision patients. It describes closed-circuit television/desktop magnifiers, portable video magnifiers, mouse-style magnifiers, and head-mounted magnifiers. CCTV/desktop magnifiers provide adjustable magnification from 3x to 100x but are bulky. Portable video magnifiers are smaller and more portable but have a smaller field of view. Mouse-style devices are handheld. Head-mounted devices like the Vmax provide magnification from 0.8x to 20x and allow viewing at different distances automatically. Electronic magnification devices can help those with conditions like glaucoma and retinitis pigmentosa.
Non-optical devices play an important role in helping people with low vision. They improve functional vision and are cheaper than optical devices. Examples include devices that increase illumination, contrast, size of text, and assist with tasks like reading, writing, medication management, and mobility. Training in techniques like eccentric viewing and scanning can also help low vision patients make better use of their remaining vision.
This document discusses various types and methods of calculating magnification that are used in low vision. It outlines three main types of magnification - relative size, relative distance, and angular magnification. It then describes several terms used to describe magnification, including apparent magnification, relative magnification, iso-accommodative magnification, and equivalent viewing power. The document provides examples of different low vision devices that use each type of magnification. It also explains several methods for calculating the needed magnification, such as Lebenson's method of reciprocal vision and Lovie's method for determining reading rates. Throughout, it emphasizes using equivalent viewing power as the standard unit for specifying magnification.
Contact lens for congenital aphakia and other eye conditions for infants and toddlers. The slide presentation encompasses indications for CL fitting in paediatric, contact lens options, fitting techniques, challenges and contact lens as myopia control.
This document discusses different types of low vision devices used to help people with low vision. It describes optical devices like telescopes, magnifying spectacles, and magnifiers that use lenses to improve vision. It also discusses non-optical devices like illumination aids, reading stands, and software that help without using lenses. A variety of telescopes, magnifiers, and other low vision devices are presented along with their uses, advantages, and disadvantages. The document provides an overview of the options available to enhance vision for those with low vision.
This is a guide for Visual function assessment in low vision. Useful for Optometrists in providing better care to Low vision Patients by assessing the conditions better.
Types of pediatric contact lens [autosaved]Bipin Koirala
This document discusses pediatric contact lens fitting and evaluation. It begins by outlining the advantages of contact lenses over glasses for children, including a wider field of view. Key considerations for fitting include small eye size, tear production, and compliance. Conditions that may require lenses include refractive errors, amblyopia treatment, and aphakia following cataract surgery. Evaluations include testing visual acuity and ocular health. Lens options discussed are silicone, hydrogel, and rigid gas permeable lenses. Special fitting considerations for aphakic children include initially high powers of +20D to +35D, depending on age.
Magnification is a method of increasing the size of the image
so that enough of the retina is stimulated to send an impulse
through the optic nerve allowing an object to be perceived .
1) There are a variety of low vision devices that provide magnification to help those with low vision see better for both near and distant tasks. These include spectacle-mounted reading lenses, hand magnifiers, stand magnifiers, and electronic devices like closed-circuit televisions.
2) Low vision devices work by using relative distance magnification, relative size magnification, or angular magnification to enlarge images on the retina. The amount of magnification provided depends on factors like the lens power and working distance.
3) Telescopes are used for distance vision and provide angular magnification to enlarge distant objects. Types include hand-held, bioptic, and telemicroscope models. Proper fitting is important to maximize remaining vision.
This document discusses low vision and provides definitions, classifications, common causes, and management strategies.
[1] Low vision is defined as visual impairment even after treatment that results in visual acuity worse than 6/18 but ability to use vision. It can be caused by conditions like macular degeneration, retinitis pigmentosa, cataract, and glaucoma.
[2] Low vision affects people's ability to perform visual tasks and can cause blurry or decreased vision, loss of peripheral vision, and light sensitivity. Evaluation involves assessing vision and goals, while management includes low vision devices and counseling.
[3] Common low vision devices include telescopes, magnifiers, and electronic
This document discusses low vision in childhood, including various pathologies that can cause low vision such as Leber's amaurosis, optic atrophy, and retinitis pigmentosa. It outlines the visual prognosis and visual field defects associated with each condition. The document also discusses the use of low vision aids in children, noting that children are more accepting of aids and that aids should be introduced early. Various types of aids are described, from magnifiers to closed-circuit television. The document concludes with references.
Functional vision assessment what to considerNusrat Zerin
A functional vision assessment evaluates how much a child can see and use their vision in daily activities and learning. It observes a child in their typical routines at school or home to understand their abilities and needs related to vision. The assessment covers four main areas: communication, near vision tasks, daily living skills, and orientation and mobility. It helps ensure a child makes the most of their sight by informing teaching approaches and materials. The goal is to supplement clinical eye exams and identify optimal learning conditions.
Binocular vision assessment involves evaluating sensory and motor fusion through tests of phoria, vergence, accommodation, and stereopsis. Key tests include near point of convergence, vergence ranges, and accommodative response. Assessing binocular vision helps diagnose problems like convergence insufficiency, accommodative insufficiency, and other issues that can cause symptoms like eyestrain, headaches, and blurred vision. Referral for further orthoptic evaluation is recommended for patients presenting with these types of symptoms.
This document outlines the steps involved in fitting soft contact lenses. It discusses factors that affect lens fit like modulus of elasticity and water content. The fitting process involves an eye exam, keratometry, measuring the horizontal visible iris diameter (HVID), and selecting an initial trial lens based on the base curve, power, diameter, and lens type. The fit of the trial lens is then evaluated based on patient comfort, corneal coverage, centration, movement, push-up test results, lens lag, edge alignment, and over-refraction results. The lens parameters may be altered to improve fit, and a final contact lens order is placed specifying details like base curve, power, diameter, water content, and manufacturer.
Various Soft Contact Lens- designs and their indications Urusha Maharjan
The document discusses various designs and material properties of soft contact lenses, describing 19 different types of soft contact lenses categorized by their water content, oxygen permeability, and FDA group. It provides details on common lens materials like polymacon, alphafilcon A, and etafilcon A as well as specific lenses from brands like Bausch & Lomb, Johnson & Johnson, and Ciba Vision. The document compares silicone hydrogel lenses to conventional hydrogel lenses and their differences in oxygen transmissibility and compatibility with care solutions.
This document discusses low vision aids and their use for people with low vision. It defines low vision as visual acuity between 6/18 and 3/60 in the better eye after correction, or a field of vision between 20 to 30 degrees. Common causes of low vision include macular degeneration, glaucoma, and diabetic retinopathy. Optical low vision aids like magnifying spectacles, hand magnifiers, and telescopes use magnification to improve vision. Non-optical aids include increased lighting, contrast enhancement, and electronic magnifiers. Proper evaluation and prescribing of low vision aids depends on the patient's needs, vision status, and motivation. The goal is to prescribe simple, portable devices to help low vision
This document discusses the measurement and management of aniseikonia. It describes several instruments used to measure aniseikonia, including the standard eikonometer and space eikonometer. It also discusses predicting aniseikonia through ocular component analysis using spectacle prescriptions, keratometry, A-scan ultrasound, and IOL status. Simple tests like size lenses, Maddox rod, and penlights as well as special tests like the Leaf Room effects and Awaya Aniseikonia test are outlined. Management of aniseikonia includes iseikonic lenses, toric lenses, doublet lenses, and fused bifocal lenses.
This document outlines visual standards for driving and naval service. The key points are:
- For driving, the standard is 6/9 vision in the better eye or 6/12 in the worse eye, with a field of vision of at least 120 degrees. Diplopia and certain visual field defects make one unfit to drive.
- For the Royal Navy, the standards are 6/12 vision or better in each eye, with restrictions on hyperopia, myopia and astigmatism. Tests include Ishihara color plates and checking binocular function.
- Factors like ocular pathology, refractive surgeries and retinal detachment could cause rejection even if vision is within standards. Spectacle
Vision therapy uses various techniques to actively train and improve visual skills. It aims to establish efficient binocular vision through tasks that target issues like amblyopia, strabismus, focusing, and eye coordination. Treatment involves procedures done at home and in the office using instruments like lenses, prisms, occlusion, and computer programs. Success depends on accurate diagnosis, a tailored approach for each patient, and their consistent participation in frequent sessions over time.
Visual performance refers to the ability of the visual system to operate quickly, effectively with no discomfort. The document discusses several techniques for assessing visual performance including contrast sensitivity, dark focus of accommodation, visual acuity, and depth tracking. It also discusses how visual performance is important for sports and identifies several relevant visual skills. Visual performance training aims to enhance these skills and can include refractive compensation, filters, nutrition, and sports vision training programs to improve sensory processing, motor movements, and athletic performance. Certain nutrients like lutein and zeaxanthin that are found in the eye may provide benefits like improved glare recovery, visual acuity, and processing speeds.
How to protect your eye?
With sunglasses? Mirror glasses? Tinted or polarized glasses?
What is right tint colour for you?
What are antireflection coat glasses?
The document discusses low vision rehabilitation in pediatrics. It defines low vision and describes common causes in children. Low vision rehabilitation aims to help children with low vision develop skills and achieve independence through assessment, training, counseling and environmental modifications. Key areas of rehabilitation include developmental, educational, genetic and vocational support. Challenges include assessing and training children, as well as counseling parents. The roles of teachers, parents and rehabilitation centers are also outlined.
The FDA classifies soft contact lenses into four groups based on their water content and ionic charge. Group 1 lenses have low water content and are non-ionic, while Group 2 lenses have high water content but are also non-ionic. Group 3 lenses have low water content but are ionic, and Group 4 lenses have high water content and are ionic. This classification system helps differentiate lenses' interactions with care products and their tendencies to accumulate protein deposits from tears.
Anatomic and physiological ocular changes with age finalHira Dahal
This document discusses various age-related changes that occur in the eye and visual system. It notes decreased visual field and corneal sensitivity with age. The eyelids show signs of atrophy, wrinkling, and misalignment. The conjunctiva thins and produces fewer tears. The lens thickens and becomes less transparent, increasing nearsightedness. The vitreous shrinks and detaches from the retina more easily. The retina has poorer response to light and contrast sensitivity. Overall, aging reduces visual acuity, especially for moving targets, and increases the need for brighter lighting.
To know Humphrey visual field analyser
To know about various types of perimetry
To identify field defect
To recognize that field defect is due to glaucoma or neurological lesion
To know that field defect is progressive or not
Interpretation of HVFA
Contact lenses can be prescribed for elderly patients to correct vision and rehabilitate the cornea, but their success is often limited by age-related physiological changes like dry eye, decreased manual dexterity, and high refractive error. A thorough assessment of anatomical, refractive, corneal, tear film, lid, and visual factors is important prior to fitting to increase the likelihood of success. Specialty lenses, careful handling, and family support may help elderly patients wear contacts.
Magnification is a method of increasing the size of the image
so that enough of the retina is stimulated to send an impulse
through the optic nerve allowing an object to be perceived .
1) There are a variety of low vision devices that provide magnification to help those with low vision see better for both near and distant tasks. These include spectacle-mounted reading lenses, hand magnifiers, stand magnifiers, and electronic devices like closed-circuit televisions.
2) Low vision devices work by using relative distance magnification, relative size magnification, or angular magnification to enlarge images on the retina. The amount of magnification provided depends on factors like the lens power and working distance.
3) Telescopes are used for distance vision and provide angular magnification to enlarge distant objects. Types include hand-held, bioptic, and telemicroscope models. Proper fitting is important to maximize remaining vision.
This document discusses low vision and provides definitions, classifications, common causes, and management strategies.
[1] Low vision is defined as visual impairment even after treatment that results in visual acuity worse than 6/18 but ability to use vision. It can be caused by conditions like macular degeneration, retinitis pigmentosa, cataract, and glaucoma.
[2] Low vision affects people's ability to perform visual tasks and can cause blurry or decreased vision, loss of peripheral vision, and light sensitivity. Evaluation involves assessing vision and goals, while management includes low vision devices and counseling.
[3] Common low vision devices include telescopes, magnifiers, and electronic
This document discusses low vision in childhood, including various pathologies that can cause low vision such as Leber's amaurosis, optic atrophy, and retinitis pigmentosa. It outlines the visual prognosis and visual field defects associated with each condition. The document also discusses the use of low vision aids in children, noting that children are more accepting of aids and that aids should be introduced early. Various types of aids are described, from magnifiers to closed-circuit television. The document concludes with references.
Functional vision assessment what to considerNusrat Zerin
A functional vision assessment evaluates how much a child can see and use their vision in daily activities and learning. It observes a child in their typical routines at school or home to understand their abilities and needs related to vision. The assessment covers four main areas: communication, near vision tasks, daily living skills, and orientation and mobility. It helps ensure a child makes the most of their sight by informing teaching approaches and materials. The goal is to supplement clinical eye exams and identify optimal learning conditions.
Binocular vision assessment involves evaluating sensory and motor fusion through tests of phoria, vergence, accommodation, and stereopsis. Key tests include near point of convergence, vergence ranges, and accommodative response. Assessing binocular vision helps diagnose problems like convergence insufficiency, accommodative insufficiency, and other issues that can cause symptoms like eyestrain, headaches, and blurred vision. Referral for further orthoptic evaluation is recommended for patients presenting with these types of symptoms.
This document outlines the steps involved in fitting soft contact lenses. It discusses factors that affect lens fit like modulus of elasticity and water content. The fitting process involves an eye exam, keratometry, measuring the horizontal visible iris diameter (HVID), and selecting an initial trial lens based on the base curve, power, diameter, and lens type. The fit of the trial lens is then evaluated based on patient comfort, corneal coverage, centration, movement, push-up test results, lens lag, edge alignment, and over-refraction results. The lens parameters may be altered to improve fit, and a final contact lens order is placed specifying details like base curve, power, diameter, water content, and manufacturer.
Various Soft Contact Lens- designs and their indications Urusha Maharjan
The document discusses various designs and material properties of soft contact lenses, describing 19 different types of soft contact lenses categorized by their water content, oxygen permeability, and FDA group. It provides details on common lens materials like polymacon, alphafilcon A, and etafilcon A as well as specific lenses from brands like Bausch & Lomb, Johnson & Johnson, and Ciba Vision. The document compares silicone hydrogel lenses to conventional hydrogel lenses and their differences in oxygen transmissibility and compatibility with care solutions.
This document discusses low vision aids and their use for people with low vision. It defines low vision as visual acuity between 6/18 and 3/60 in the better eye after correction, or a field of vision between 20 to 30 degrees. Common causes of low vision include macular degeneration, glaucoma, and diabetic retinopathy. Optical low vision aids like magnifying spectacles, hand magnifiers, and telescopes use magnification to improve vision. Non-optical aids include increased lighting, contrast enhancement, and electronic magnifiers. Proper evaluation and prescribing of low vision aids depends on the patient's needs, vision status, and motivation. The goal is to prescribe simple, portable devices to help low vision
This document discusses the measurement and management of aniseikonia. It describes several instruments used to measure aniseikonia, including the standard eikonometer and space eikonometer. It also discusses predicting aniseikonia through ocular component analysis using spectacle prescriptions, keratometry, A-scan ultrasound, and IOL status. Simple tests like size lenses, Maddox rod, and penlights as well as special tests like the Leaf Room effects and Awaya Aniseikonia test are outlined. Management of aniseikonia includes iseikonic lenses, toric lenses, doublet lenses, and fused bifocal lenses.
This document outlines visual standards for driving and naval service. The key points are:
- For driving, the standard is 6/9 vision in the better eye or 6/12 in the worse eye, with a field of vision of at least 120 degrees. Diplopia and certain visual field defects make one unfit to drive.
- For the Royal Navy, the standards are 6/12 vision or better in each eye, with restrictions on hyperopia, myopia and astigmatism. Tests include Ishihara color plates and checking binocular function.
- Factors like ocular pathology, refractive surgeries and retinal detachment could cause rejection even if vision is within standards. Spectacle
Vision therapy uses various techniques to actively train and improve visual skills. It aims to establish efficient binocular vision through tasks that target issues like amblyopia, strabismus, focusing, and eye coordination. Treatment involves procedures done at home and in the office using instruments like lenses, prisms, occlusion, and computer programs. Success depends on accurate diagnosis, a tailored approach for each patient, and their consistent participation in frequent sessions over time.
Visual performance refers to the ability of the visual system to operate quickly, effectively with no discomfort. The document discusses several techniques for assessing visual performance including contrast sensitivity, dark focus of accommodation, visual acuity, and depth tracking. It also discusses how visual performance is important for sports and identifies several relevant visual skills. Visual performance training aims to enhance these skills and can include refractive compensation, filters, nutrition, and sports vision training programs to improve sensory processing, motor movements, and athletic performance. Certain nutrients like lutein and zeaxanthin that are found in the eye may provide benefits like improved glare recovery, visual acuity, and processing speeds.
How to protect your eye?
With sunglasses? Mirror glasses? Tinted or polarized glasses?
What is right tint colour for you?
What are antireflection coat glasses?
The document discusses low vision rehabilitation in pediatrics. It defines low vision and describes common causes in children. Low vision rehabilitation aims to help children with low vision develop skills and achieve independence through assessment, training, counseling and environmental modifications. Key areas of rehabilitation include developmental, educational, genetic and vocational support. Challenges include assessing and training children, as well as counseling parents. The roles of teachers, parents and rehabilitation centers are also outlined.
The FDA classifies soft contact lenses into four groups based on their water content and ionic charge. Group 1 lenses have low water content and are non-ionic, while Group 2 lenses have high water content but are also non-ionic. Group 3 lenses have low water content but are ionic, and Group 4 lenses have high water content and are ionic. This classification system helps differentiate lenses' interactions with care products and their tendencies to accumulate protein deposits from tears.
Anatomic and physiological ocular changes with age finalHira Dahal
This document discusses various age-related changes that occur in the eye and visual system. It notes decreased visual field and corneal sensitivity with age. The eyelids show signs of atrophy, wrinkling, and misalignment. The conjunctiva thins and produces fewer tears. The lens thickens and becomes less transparent, increasing nearsightedness. The vitreous shrinks and detaches from the retina more easily. The retina has poorer response to light and contrast sensitivity. Overall, aging reduces visual acuity, especially for moving targets, and increases the need for brighter lighting.
To know Humphrey visual field analyser
To know about various types of perimetry
To identify field defect
To recognize that field defect is due to glaucoma or neurological lesion
To know that field defect is progressive or not
Interpretation of HVFA
Contact lenses can be prescribed for elderly patients to correct vision and rehabilitate the cornea, but their success is often limited by age-related physiological changes like dry eye, decreased manual dexterity, and high refractive error. A thorough assessment of anatomical, refractive, corneal, tear film, lid, and visual factors is important prior to fitting to increase the likelihood of success. Specialty lenses, careful handling, and family support may help elderly patients wear contacts.